Molecular characterization ofCorynebacterium diphtheriaeisolates in Malaysia between 1981 and 2016. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Mohd Khalid, Mohd Khairul Nizam; Ahmad, Norazah; Hii, Shirley Yi Fen; Abd Wahab, Muhammad Adib; Hashim, Rohaidah; Liow, Yii Ling
• Is Part Of: Journal of medical microbiology. Volume 68:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: corynebacterium diphtheriae -- MLST -- WGS; Medical microbiology -- Periodicals; 616.9041
• DOI: 10.1099/jmm.0.000881
• Languages: English
• ISSNs: 0022-2615

Abstract

Abstract : N/A: Sporadic diphtheria cases in Malaysia have remained low in number since the 1990s. However, in 2016 a total of 31 cases were reported nationwide and to investigate this we performed molecular characterization of 30 Corynebacterium diphtheriae isolates collected from 1981 to 2016 using multilocus sequence typing (MLST). C. diphtheriae isolates were identified and biotyped using the API Coryne kit, while the toxigenicity was determined by PCR and the Elek test. All of the 2016 isolates belonged to biotype mitis, caused respiratory diphtheria and were toxigenic strains. MLST analysis identified 17 sequence types (STs), including 11 new ones. ST453 was the most common clone (7/30, 23.3 %), followed by ST141 (5/30, 16.7 %), ST451 (3/30, 10.0 %) and ST248 (2/30, 6.7 %). The clones identified in 2016 had not been detected in previous isolations and they were phylogenetically distinct. Our results suggest that the diphtheria cases in 2016 were caused by the emergence and spread of new clones in Malaysia.